Mo. Code Regs. Ann. tit. 19, § 15-4.010 – Definition of Terms

PURPOSE: This rule defines terms used in this chapter.

(1) Any definitions described in 13 CSR 15-7.005 are applicable to 13 CSR 15-4 as well as the terms defined in this rule.
(2) Act—The Older Americans Act of 1965, as amended through December 31, 1992.
(3) Acquiring—Obtaining ownership of an existing facility in fee simple or by a lease of ten (10) or more years for use as a multipurpose senior center.
(4) Administration on Aging (AoA)—The federal agency within the Department of Health and Human Services which is charged with the responsibility of administering the provisions of the Act, with the exception of the Senior Community Service Employment Program (SCSEP).
(5) Administrative action—Any action or decision made by an owner, employee or agent of a long-term care (LTC) facility, or by an area agency or the division, which affects the provision of services to service recipients.
(6) Adequate proportion—An amount of supportive services funds determined by the state agency to be sufficient to meet the need for a given priority service in a particular planning and service area.
(7) Adult day care—A program designed to provide care and supervision to meet the needs of functionally impaired adults for periods of less than twenty-four (24) hours but more than two (2) hours per day in a place other than the adult’s own home.
(8) Advisory council—A council of older individuals (including minority individuals), representatives of older individuals and local elected officials who advise the Area Agency on Aging on matters pertaining to development and administration of the area plan and on operations conducted under the plan.
(9) Advocacy—The act of speaking or writing in support of older persons or programs for older persons.
(10) Altering or renovating—Making modifications to an existing facility which are necessary for its effective use as a multipurpose senior center, including restoration, repair, expansion and all related physical improvements.
(11) Area Agency on Aging (AAA)—The agency designated by the division in a planning and service area to develop and administer a plan and administer available funds for a comprehensive and coordinated system of services for the elderly and persons with disabilities who require similar services.
(12) Area Agency on Aging governing body—The policy-making board or oversight body which directs the actions of the AAA under local, state and federal laws and regulations.
(13) Area plan—The document submitted by an area agency to the division for approval in order to receive subgrants or contracts.
(14) Assessment—The mechanism for determining need and eligibility for programs and services.
(15) Assistant secretary—The assistant secretary of the Department of Health and Human Services.
(16) Collocation of services—Coordination and scheduling representatives of providers and other agencies and organizations to assure that, in addition to a center’s usual services, all available services benefiting the elderly are accessible and convenient for recipients at the community focal point.
(17) Confidentiality—Procedures which assure the anonymity of the individual service recipient.
(18) Construction—The building of a new multipurpose senior center including the costs of land, acquisition and architectural engineering fees.
(19) Continuum of care—A full range of economic, physical, psychological and social support programs and services necessary to maintain or restore elderly persons to optimal functioning.
(20) Department—Missouri Department of Social Services.
(21) Direct service—Any activity performed to provide services directly to an individual older person by the staff of a service provider or an area agency. 19 CSR 15-4
(22) Disaster preparedness plan—A regional or statewide plan to organize local efforts to assist the elderly in the event of a disaster situation which affects large numbers of people.
(23) Division—The Division of Aging within the Department of Social Services, the designated state unit on aging.
(24) Education and training services—Supportive services designed to broaden the knowledge and skills of older persons, their caregivers, advocates, and the professionals serving them to cope more effectively with their economic, health and personal needs.
(25) Focal point—A facility established to encourage the maximum collocation and coordination of services for older individuals.
(26) Greatest economic need—The need resulting from an income level at or below the poverty line.
(27) Greatest social need—The need caused by noneconomic factors, including physical and mental disabilities, language barriers, and cultural, social, or geographic isolation, including isolation caused by racial or ethnic status, which restrict the ability of an individual to perform normal daily tasks and/or threatens the capacity of the individual to live independently.
(28) Health screening services—Services in which the service recipient’s general health is reviewed, health education is provided, simple tests are provided or referral is made, if indicated.
(29) Indirect costs—Those costs allocated to AAA grant awards based on a rate approved by the organization’s cognizant federal agency.
(30) Information and assistance source—A location where any public or private agency or organization—
1. (A) Maintains current information with respect to the opportunities and services available to older individuals;
2. (B) Employs, where feasible, a specially trained staff to assess the needs and capacities of older individuals, to inform older individuals of the opportunities and services which are available and to assist those individuals with economic or social needs; and
3. (C) Utilizes, where feasible, electronic and/or computer database information sources in the provision of information and assistance services.
(31) Legal assistance—Legal advice and representation by an attorney (including, to the extent feasible, counseling or other appropriate assistance by a paralegal or law student under the supervision of an attorney). Legal assistance includes counseling or representation by a nonlawyer where permitted by law but does not include community education.
(32) Local government—A political subdivision of the state, whose authority is general and not limited to only one (1) function or combination of related functions.
(33) Local match—See match.
(34) Long-term care (LTC) facility—Any facility as defined in section 198.006, RSMo.
(35) Match—The equivalent cash value of third-party in-kind contributions or cash resources representing that portion of the costs of a grant-supported project or program not borne by the federal or state government.
(36) Medicaid—Financial assistance for medical services provided under section 208.151, RSMo, in accordance with Title XIX, Public Law 89-97, 1965 amendments to the Social Security Act (42 U.S.C. 301).
(37) Monitoring—The review and evaluation of all AAA activities by the division, or of contractor activities by the AAA.
(38) Net cost—The total allowable costs, less grant-related income, for the purpose of meeting match requirements.
(39) Not-for-profit—An agency, institution or organization which is owned and operated by one (1) or more corporations or associations with no part of the net earnings benefiting any private shareholder or individual.
(40) Ombudsman—An individual assigned by the division or the area agency to investigate and resolve complaints made by or on behalf of older individuals who are residents of LTC facilities relating to administrative action which may adversely affect the health, safety, welfare and rights of these residents.
(41) Person(s) with disabilities—Anyone who has a mental or physical impairment which substantially limits one or more of their major life activities; or has a record of such impairment; or is regarded as having such an impairment.
(42) Planning and service area (PSA)—A geographic area of the state that is designated by the division for purposes of planning, developing, delivering, monitoring and administering services to older persons.
(43) Policy—A principle established by a government, organization or an individual that guides decision-making and actions.
(44) Preprint—The division’s format for development and submission of the area agency plan or plan amendment.
(45) Priority services—Those service categories of access, in-home and legal assistance.
(46) Procedure—The established sequence of actions to be followed to accomplish a task or implement a policy.
(47) Program—Any service funded under the approved area plan.
(48) Program costs—Costs incurred by the area agency in managing and delivering a service.
(49) Program evaluation—The review and determination of program effectiveness in meeting recipient needs.
(50) Program monitoring—The review and determination of progress in meeting program objectives.
(51) Protective services—Services provided by the division in response to the need for protection from harm or neglect to elderly persons and persons with disabilities under sections 660.250—660.295, RSMo.
(52) Public hearing—An open hearing which provides an opportunity for older persons, the general public, officials of general purpose, local government and other interested parties to comment on a proposal.
(53) Public match—See match.
(54) Regional office—Department of Health and Human Services, Administration on Aging (AoA) office located in Kansas City, Missouri.
(55) Renovating—See altering.
(56) Request for proposal (RFP)—A formal invitation to prospective contractors to submit bids for procurement of a defined set of activities, services or goods.
(57) Request for qualifications (RFQ)—A type of RFP which is a formal invitation to prospective providers to submit information suitable for determining eligibility as a qualified provider.
(58) Rural areas—Any town or city with a population of twenty thousand (20,000) or less.
(59) SMSA (standard metropolitan statistical area)—One (1) or more central counties with an urbanized area of at least fifty thousand (50,000) population.
(60) SSBG—Social Services Block Grant.
(61) Staff hour—An hour of staff time spent on any activity related to the service identified.
(62) Standards—The minimum requirements to be met for the operation of programs and the delivery of services.
(63) State plan—The document containing the division’s priorities, goals, policy statements and objectives for enabling older persons to fulfill their potential for independent functioning.
(64) Structural change—Any change to the loadbearing members of a building.
(65) Target population—Individuals aged sixty (60) or over, with the greatest social and economic need, especially low income minority.
(66) Technical assistance—Specific guidance and expertise provided by the division staff to the area agency or by the area agency staff to the service provider staff.
(67) Transportation service—A vehicular service which facilitates access to other services.
(68) Third-party in-kind contributions— Property or services which benefit grant-supported projects or programs and which, under the grant or subgrant, are contributed by nonfederal third parties without charge to the grantee, the subgrantee or a cost-type contractor.
(69) Unit of general purpose local government—See local government.
(70) Urbanized area—An incorporated place and adjacent densely settled surrounding area that together have a minimum population of fifty thousand (50,000).
(71) USDA—United States Department of Agriculture.
(72) Waiver—The granting of a deviation from portions of service standards, prohibition of direct service delivery or any other state regulation.

AUTHORITY: section 660.050, RSMo Supp. 1999.* This rule was previously filed as 13 CSR 15-6.005 and 13 CSR 15-4.010. Original rule filed Jan. 6, 1986, effective April 30, 1986. Amended: Filed Feb. 17, 1988, effective June 15, 1988. Amended: Filed June 3, 1991, effective Oct. 31, 1991. Amended: Filed Nov. 14, 1991, effective March 9, 1992. Amended: Filed Aug. 28, 2000, effective March 30, 2001. Moved to 19 CSR 15-4.010, effective Aug. 28, 2001. *Original authority: 660.050, RSMo 1984, amended 1988, 1992, 1993, 1994, 1995.